| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
278 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
93 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
78 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
209 |
209 |
$6K |
| 97802 |
|
186 |
186 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$5K |
| 90461 |
|
89 |
89 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
19 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$804.27 |
| 96127 |
|
86 |
86 |
$672.52 |
| 94060 |
|
13 |
13 |
$566.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$269.42 |
| 99188 |
|
14 |
14 |
$249.48 |
| 94664 |
|
16 |
16 |
$195.52 |
| 99051 |
|
12 |
12 |
$158.40 |
| 96160 |
|
14 |
14 |
$125.30 |
| 90686 |
|
27 |
27 |
$0.00 |
| 94760 |
|
91 |
84 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
207 |
207 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90633 |
|
78 |
78 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |